Individual
MRS. MARY LYNN PALOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
#1 JEFFERSON BARRACKS DRIVE, ST. LOUIS, MO 63125
(314) 894-6547
Mailing address
1945 FOREST HAVEN DRIVE, IMPERIAL, MO 63052
(314) 894-6547
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004774
MO
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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